COVID-19 (novel Coronavirus) Billing, Coding, and Compliance Updates

The media is closely reporting on efforts being taken across the United States to ramp up clinical operations to prepare for and respond to the influx of patients that will require specialized testing and treatment. Likewise, healthcare organizations are taking steps to create resiliency across financial operations to support their missions in the months to come. Your efforts are critically important.

Craneware’s data team is continuously monitoring guidance regarding billing and coding for COVID-19 testing and treatment. Please check back frequently for updated information.

Craneware customers and non-customers alike should feel free to contact support@craneware.com for questions related to COVID-19 billing and coding – we are here to serve in this unique and trying time.

• What are the key takeaways for revenue cycle professionals from CMS’ third COVID-19 Interim Final Rule, CMS-3401-IFC, released on August 25, 2020?
• CMS FAQ Document on Medicare Fee-For-Service Billing, updated on May 27, 2020
• Summary of PHE Policies, Transmittal R10160OTN and MM11805, dated May 22, 2020
• Special Edition MLN Regarding Swing Bed Waivers, dated May 20, 2020
• MAC Pricing for U0001-U0004; 87635, 86769, 86328, dated May 19, 2020

See all Resources on COVID-19 Billing and Coding

Rapid Fire Q & A

Items in green indicate the newest information available.

See all Rapid Fire Q&A

COVID-19 Regulatory Updates

Craneware has made the decision to publicly publish the following in-depth regulatory bulletins which are normally only available to our customers due to the unprecedented nature of the COVID-19 pandemic.

• CMS Interim Final Rule – Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency (PHE)  12 May 2020
• Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) – Expanded Flexibilities During COVID-19 Public Health Emergency   22 April 2020
• Revised-Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)  20 April 2020

See all COVID-19 Regulatory Updates

Additional Resources

On-demand recordings on
guidelines related to COVID-19

Providing COVID-19 Expertise

CPT Codes © 2020 American Medical Association, use of this site denotes acceptance of below terms and conditions

CPT codes, descriptions, and material only are copyright 2020 American Medical Association (AMA). All Rights Reserved. No fee schedules, basic units, relative values or related listings are included in CPT. AMA does not directly or indirectly practice medicine or dispense medical services. AMA assumes no liability for data contained or not contained here in. CPT is a trademark of the American Medical Association.

The responsibility for the content of any ‘National Correct Coding Policy’ included in this product is with Centers for Medicare and Medicaid Services, formerly known as Health Care Financing Administration, and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, nonuse or interpretation of information contained in this product.

This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.

Applicable FARS/DFARS Restrictions Apply to Government Use.

Current Dental Terminology copyright © 2020 American Dental Association. All rights reserved.

© 2020, Craneware, Inc. All rights reserved. You may make copies and forward this content freely only if it is copied or forwarded in its entirety and this copyright and attribution to Craneware, Inc. is preserved as the source and owner of the content. Any usage of these contents is subject to your agreement that Craneware shall have no liability for any errors or inaccuracies in this content.